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Home My WebLink About0154201 - Plumbing (replace toilets) e) CITY OF OSHKOSH No 154201 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3270 MOCKINGBIRD WAY Owner JAMES E WILLIAMSON/CHRISTINE M TROXEL Create Date 01/15/2013 Contractor D R GLAZE PLUMBING Category 413-Res-Interior(Replacement Fixtures) Plan Inspector Jerry Fabisch Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 2 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Wash Statn 0 Water Heater 0 Use/Nature SFR/REPLACE 2 TOILETS **check#1202&1203 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1336030000 Valuation $1,175.00 Plan Approval _ _ $0.00 Permit Fees $30.00 El Permit Voided I ?X ill By w Date 01/18/2013 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 920-589-4014 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection (i.e. Footing,Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division A. i4#3" (�C POBox1130 �' -.sue s ' Oshkosh,WI 54903-1i 30 ' �` �; t ' Phone:(920)236-5050 � M ' Fax:(920)236-5084 Z j t ' nJ ✓�� fh Plumbing Permit Application �= ...rr n i hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. ° Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128_ Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR /f volt are a contractor Participating in the Permit Fee Account System and have adequate funds. check here if you want this processed through your account 11 "Advisory-For applicable projects, an Electrical Installation Verification Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be by the Electri submitted cal with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address 32''70 / 4>t 1��U' (Ay' Value(Including labor and materials)) i/�'�S� Date t 1i /�13 Ovv,uer i, ,,lerXeledlr sue,, Contractor iK6tirtr P 14Single Family Duplex ]Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Shower San.Sump/Pump Roof Drain Scullery Sink Soda Disp Whirlpool Water Softener Lavatory Service Sink Coffee Mkr Standpipe Rec Shamp Sink Toilet Site Drain —2— Garage PD Surgeons Sink Kit Sink Waitrs Stn Local Waste Sterilizer Utsposal Bar Sink Ice Chest RPZ Valve Comm Ice Maker ____ Dishwasher _ Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal at Grease Trap Hose Bibb _ Exam Sink Beer Tap Eye Wash Stn Water hfeater P Prep Sink Dipper Well Gas Elect PwrVnt Deduct Meter Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work C_ .._ .-__ `�_ Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service O6./0